Preventive medications list

Preventive medications listIn addition to a healthy lifestyle, preventive medications can help people avoid many illnesses and conditions. A consumerdirectedhealth (CDH) plan that includes preventive medications can help support the goal of ongoing good health.This list provides examples of your plan’s preventive medications. The medications are categorized based on themedical conditions that they are used to prevent. This is not an all-inclusive list; only examples of medicines in eachcategory are listed. Coverage prior to the deductible being met may not be provided for every dosage form of alisted medication. Please check with your plan administrator if you have questions. This list is periodically reviewedby clinical experts. Medications may be added to or removed from the list based on different factors, including theintended purpose of the medication and its availability.This list may change from time to time. For the most up to date list of preventive medications please visit ourwebsite, www.medco.com, or call customer service at the phone number on the back of your prescription card.Medications on this list that are not covered under your plan are not eligible for the preventivemedication program.This list includes medications (a) always used for prevention, (b) medications sometimes used for prevention and sometimes fortreatment, and (c) medications used for the treatment of diabetes, but that have long-term preventive benefits against some ofthe complications of that condition.LOW LEVELS OF VITAMINSFOLIC ACID, 0.4 TO 0.8 MGPRESCRIPTION PRENATAL VITAMINSMULTIVITAMIN PRODUCTSPREGNANCYBIRTH CONTROL MEDICINESTAKEN BY MOUTHBIRTH CONTROL DEVICES:DIAPHRAMS, SKIN PATCH SYSTEMS,INJECTABLE BIRTH CONTROL,INTRAUTERINE SYSTEMS, AND IMPLANTSCAVITIESETHEDENT, PHOS-FLUR, GEL-KAM,PREVIDENT RINSESODIUM FLUORIDEANEMIA IN CHILDRENFERROUS SULFATE LIQUID DROPS FORINFANTS (SUCH AS FER-IN-SOL)SMOKING-CESSATION THERAPYZYBANBUPROPIONNICOTROLNICOTINE PRODUCTSCHANTIXVARENICLINEPDL5568AOBESITYDIETHYLPROPIONXENICALORLISTATBONTRILPHENDIMETRAZINEADIPEX-P, IONAMINPHENTERMINENAUSEA AND DIZZINESSEMENDAPREPITANTANZEMETDOLASETRONMARINOLDRONABINOLSANCUSOGRANISETRONANTIVERTMECLIZINEZOFRANONDANSETRONCOMPAZINEPROCHLORPERAZINEPHENERGANPROMETHAZINETRANSDERM SCOP, SCOPACESCOPOLAMINEBREAST CANCER RECURRENCEARIMIDEXANASTROZOLEAROMASINEXEMESTANEFEMARALETROZOLENOLVADEXTAMOXIFENHEART DISEASE AND STROKEBLOOD THINNER MEDICINES:ASPIRIN, 81 MG OR 325 MGHEPARINAGGRENOXASA/DIPYRIDAMOLEPLAVIXCLOPIDOGRELFRAGMINDALTEPARINLOVENOXENOXAPARINARIXTRAFONDAPARINUXEFFIENTPRASUGRELCOUMADIN, JANTOVENWARFARINcontinued on reverse side

Preventive Medications ListMEDICINES FOR HIGH BLOODPRESSURE:ACE INHIBITORS ANDCOMBINATIONS:LOTENSIN, LOTENSIN HCTBENAZEPRILVASOTEC, VASERETICENALAPRILMONOPRIL, MONOPRIL HCTFOSINOPRILPRINIVIL, PRINZIDE, ZESTRIL,ZESTORETICLISINOPRILACCUPRIL, ACCURETICQUINAPRILACE RECEPTOR BLOCKERS ANDCOMBINATIONS:ATACAND, ATACAND HCTCANDESARTANTEVETEN, TEVETEN HCTEPROSARTANAVAPRO, AVALIDEIRBESARTANCOZAAR, HYZAARLOSARTANBENICAR, BENICAR HCTOLMESARTANMICARDIS, MICARDIS HCTTELMISARTANDIOVAN, DIOVAN HCTVALSARTANBETA BLOCKERS ANDCOMBINATIONS:TENORMIN, TENORETICATENOLOLZEBETA, ZIACBISOPROLOLLOPRESSOR, TOPROL XLMETOPROLOLBYSTOLICNEBIVOLOLINDERAL LA, INNOPRAN XLPROPRANOLOLCALCIUM CHANNEL BLOCKERS:NORVASCAMLODIPINECARDIZEM, CARDIZEM LA, CARTIA XT,TIAZACDILTIAZEMADALAT CC, PROCARDIANIFEDIPINESULARNISOLDIPINECALAN, COVERA HS, ISOPTIN SR,VERELANVERAPAMILDIURETICS AND COMBINATIONS:HYDROCHLOROTHIAZIDEINDAPAMIDEMIDAMORAMILORIDEZAROXOLYNMETOLAZONEALDACTONESPIRONOLACTONEDYAZIDE, MAXZIDETRIAMTERENE-HCTZMISCELLANEOUS:TEKTURNAALISKIRENTEKAMLOALISKIREN/AMLODIPINETEKTURNA HCTALISKIREN/HYDROCHLOROTHIAZIDEVALTURNAALISKIREN/VALSARTANLOTRELAMLODIPINE/BENAZEPRILAZORAMLODIPINE/OLMESARTANTRIBENZORAMLODIPINE/OLMESARTAN/HYDROCHLOROTHIAZIDETWYNSTAAMLODIPINE/TELMISARTANEXFORGEAMLODIPINE/VALSARTANEXFORGE HCTAMLODIPINE/VALSARTAN/HYDROCHLOROTHIAZIDECOREG, COREG CRCARVEDILOLCATAPRES, COMBIPRES, CLORPRESCLONIDINECARDURADOXAZOSINAPRESOLINEHYDRALAZINEHYTRINTERAZOSINMEDICINES THAT LOWERCHOLESTEROL:HMG-COA REDUCTASE INHIBITORS:LIPITORATORVASTATINMEVACOR, ALTOPREVLOVASTATINPRAVACHOLPRAVASTATINCRESTORROSUVASTATINZOCORSIMVASTATINOTHER AGENTS:PREVALITE, QUESTRANCHOLESTYRAMINEWELCHOLCOLESEVELAMCOLESTIDCOLESTIPOLZETIAEZETIMIBEVYTORINEZETIMIBE/SIMVASTATINFENOGLIDE, LIPOFEN, TRICOR,ANTARA TRIGLIDEFENOFIBRATETRILIPIXFENOFIBRIC ACIDLOPIDGEMFIBROZILNIACOR, NIASPANNIACINADVICORNIACIN/LOVASTATINSIMCORNIACIN ER/SIMVASTATINLOVAZAOMEGA-3-ACID ETHYL ESTERSINFECTIONVACCINESDIPHTHERIA, PERTUSSIS, TETANUS,HAEMOPHILUS INFLUENZAE B, HEPATITISA AND B, HUMAN PAPILLOMAVIRUS,INFLUENZA, MEASLES, MENINGOCOCCAL,MUMPS, PNEUMOCOCCAL, POLIOVIRUS,ROTAVIRUS, RUBELLA, AND VARICELLAFUNGAL INFECTIONSMEPRONATOVAQUONENEBUPENT, PENTAMPENTAMIDINENOXAFILPOSACONAZOLE

Preventive Medications ListMALARIADARAPRIMPYRIMETHAMINECOARTEMARTEMETHER/LUMEFANTRINEFANSIDARPYRIMETHAMINE/SULFADOXINEPRIMAQUINEMALARONEATOVAQUONE/PROGUANILPLAQUENILHYDROXYCHLOROQUINEVIRUSAMANTADINEZOVIRAXACYCLOVIRFAMVIRFAMCICLOVIRFOSCAVIRFOSCARNETCYTOVENEGANCICLOVIRTAMIFLUOSELTAMIVIRVALTREXVALACYCLOVIRVALCYTEVALGANCICLOVIRRELENZAZANAMIVIRULCER DISEASEH2-ANTAGONISTS:TAGAMETCIMETIDINEPEPCIDFAMOTIDINEAXIDNIZATADINEZANTACRANITIDINEMISCELLANEOUS AGENTS:PYLERABISMUTH/METRONIDAZOLE/TETRACYCLINECARAFATESUCRALFATEPROTON PUMP INHIBITORS:NEXIUMESOMEPRAZOLEPREVACIDLANSOPRAZOLEPROTONIXPANTOPRAZOLEACIPHEXRABEPRAZOLEASTHMASINGULAIRMONTELUKASTACCOLATEZAFIRLUKASTZYFLO CRZILEUTONSIDE EFFECTS FROM CANCERTREATMENTARANESPDARBEPOETIN ALFAEPOGEN, PROCRITEPOETIN ALFANEUPOGENFILGRASTIMDEPO-PROVERAMEDROXYPROGESTERONEMESNEXMESNANEULASTAPEGFILGRASTIMLEUKINESARGRAMOSTIMGUM DISEASEARESTINMINOCYCLINELOW LEVELS OF HORMONESCYCRIN, PROVERAMEDROXYPROGESTERONECRINONE, PROMETRIUMPROGESTERONEESTROGEN REPLACEMENT:PREMARINCONJUGATED ESTROGEN TABLETSPREMPROCONJUGATED ESTROGEN/MEDROXYPROGESTERONEPREMPHASECONJUGATED ESTROGEN/MEDROXYPROGESTERONEESTRACEESTRADIOL TABLETSCLIMARAESTRADIOL TRANSDERMALESTRADERMESTRADIOL TRANSDERMALVIVELLE DOTESTRADIOL TRANSDERMALDIVIGELESTRADIOL, GELEVAMISTESTRADIOL, TRANSDERMAL SPRAYCOMBIPATCHESTRADIOL/NORETHINDRONE,TRANSDERMALCENESTINSYNTHETIC CONJUGATED ESTROGENS, AENJUVIASYNTHETIC CONJUGATED ESTROGENS, BGOUTZYLOPRIMALLOPURINOLCOLCRYSCOLCHICINEBONE DISEASE AND FRACTURESFOSAMAX, FOSAMAX PLUS DALENDRONATEFORTICAL, MIACALCINCALCITONINBONIVAIBANDRONATEEVISTARALOXIFENEACTONELRISEDRONATERECLASTZOLEDRONIC ACIDLOW LEVELS OF VITAMINSOR MINERALSCALCIUMIRONMAGNESIUMPOTASSIUM BICARBONATE/CITRIC ACIDPOTASSIUM CHLORIDEVITAMINS: A, B, B1, B6, B12, D, KZINCHIGH PHOSPHATE LEVELSIN KIDNEY DISEASEFOSRENOLLANTHANUMRENVELA, RENAGELSEVELAMERcontinued on reverse side

Preventive Medications ListCOMPLICATIONS OF DIABETESINSULINS:APIDRA, APIDRA SOLOSTARGLULISINEHUMULIN, NOVOLININSULINHUMULIN N, R, 70/30ISOPHANE, REGULAR, MIXHUMALOG, 50/50, 75/25LISPRO, LISPRO PROTAMINE MIXLANTUS, LANTUS SOLOSTARGLARGINELEVEMIRDETEMIRNOVOLOG, NOVOLOG 70/30ASPART, ASPART PROTAMINE MIXNON-INSULIN HYPOGLYCEMICS:BYETTAEXENATIDEAMARYLGLIMEPIRIDEGLUCOTROL, METAGLIPGLIPIZIDE AND COMBINATIONSDIABETA, GLYNASE, GLUCOVANCEGLYBURIDE AND COMBINATIONSVICTOZALIRAGLUTIDEFORTAMET, GLUCOPHAGE,GLUMETZAMETFORMINSTARLIXNATEGLINIDEACTOS, DUETACT, ACTOPLUS METPIOGLITAZONE AND COMBINATIONSPRANDINREPAGLINIDEONGLYZA, KOMBIGLYZESAXAGLIPTINJANUVIA, JANUMETSITAGLIPTIN AND COMBINATIONSAVANDAMETROSIGLITAZONE/METFORMINAVANDARYLROSIGLITAZONE/GLIMEPIRIDESYMLINPRAMLINTIDEAVANDIAROSIGLITAZONEMEDICINES USED FORCOLONOSCOPYCOLYTE, GOLYTELY, HALFLYTELY,NULYTELY, TRILYTE, MOVIPREPPOLYETHYLENE GLYCOLVISICOL, OSMOPREPSODIUM PHOSPHATE SALTSMedco Health Solutions, Inc., is the company that manages the prescription drug benefitfor your employer or health plan.Please note: Brand names are shown in italics in each category.All rights in the product names of all third-party products appearing here,whether or not appearing with the trademark symbol, belong exclusivelyto their respective owners.PDL5568APDL5568A LIST 1+2+3- DIABETES DRUGS 10.11